Arthrodesis is the fusion of a joint but causing 2 bones to heal together. Subtalar joint arthrodesis for elective and posttraumatic. If nonsurgical treatment of cortisone injections and permanent brace wear does not relieve the symptoms, a fusion of. The ankle arthrodesis is an effective technique for the surgical treatment of a number of alterations and diseases of the ankle joint. Subtalar arthrodesis is the fusion of the subtalar joint, between the talus and calcaneus. When the subtalar joint is fused, the side to side motion of the foot is lost.
Bone graft is harvested from the left iliac crest and place in the subtalar joint, which is then fixed with cannulated screws. A symptomatic nonunion of an ankle fusion can be managed with revision arthrodesis fig. This is commonly performed to help improve pain and function due to arthritis, as well as due to deformity. Subtalar arthrodesis print quality instant download. Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing. Butto, dpm, aacfasd subtalar joint arthrodesis is a procedure used in posttraumatic arthritis, osteoarthritis.
We conclude that ankle adtrodesis is a good therapeutic option for pain or deformity of the ankle not responding to conservative treatment, with good long term results. The patient should be carefully evaluated and any factors contributing to the nonunion should be. Subtalar joint arthrodesis for elective and posttraumatic foot and ankle deformities lawrence a. Ankle arthrodesis, commonly known as ankle fusion surgery, is a reconstructive surgical procedure where the bones of a damaged ankle joint are fused into one single bone. Revision arthrodesis of the ankle pubmed central pmc. Subtalar arthrodesis surgery foot surgeon minneapolis mn. A lateral incision is made, exposing the subtalar joint, and an osteotomy is performed. Ankle arthrodesis is a common treatment used for patients with endstage ankle arthritis esaa. The indications for arthroscopic ankle arthrodesis are for treatment of end stage ankle arthritis in those patients who have failed non operative treatments. Pseudoarthrosis occurs in 040% of all ankle fusions saltzman 2008. Patients who have significant ankle deformity associated with their ankle arthritis may not be appropriate for the arthroscopic technique and may best be treated with an open technique. Subtalar arthrodesis can be fixated with arthrex 7.
Different procedures have been tried for revision arthrodesis. Deltoideo, complejo ligamentario lateral y sindesmosis. Lind, md subtalar arthrodesis postoperative protocol phase i maximum protection weeks 0 to 6 l cast or boot for 6 weeks l elevate the ankle above the heart l nonweight bearing x 6 weeks l multiplane hip strengthening l core and upper extremity strengthening phase ii range of motion and early strengthening weeks 6 to 12. Tibiotalar salvage procedures for failed ankle arthrodesis. The late reconstruction of a complex nonunion of the distal tibial metaphysis, the ankle, or the subtalar joint was undertaken in five patients through a posterior surgical approach and. The surgical goal of ankle arthrodesis is to obtain bony union between the tibia and talus with adequate alignment slight valgus 05, neutral dorsiflexion, and slight external rotation positions in order to provide a painfree plantigrade foot for weightbearing activities. Pdf artrodesis tibioastragalina artroscopica researchgate.
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